Individual
MRS. FANTAH HYSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
301 LARGO RD, LARGO, MD 20774-2199
(301) 546-7422
Mailing address
6232 DIMRILL CT, FT WASHINGTON, MD 20744-3119
(301) 367-9912
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F07211088
MD
Other
Enumeration date
11/27/2021
Last updated
11/27/2021
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